# ORAL AND FACIAL SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871513184
- **Authorized official:** DR. HAL JEFFREY LEVINE D.M.D., M.D. (PRESIDENT)
- **Authorized official phone:** (407) 352-6301

## Contact information

- **Practice address:** 200 W OAK ST, KISSIMMEE, FL 34741-4420
- **Practice address phone:** (407) 932-0883
- **Practice address fax:** (407) 932-4251
- **Mailing address:** 200 W OAK ST, KISSIMMEE, FL 34741-4420
- **Mailing address phone:** (407) 932-0883
- **Mailing address fax:** (407) 932-4251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | FL | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 11/19/2013
